Posted in Health, news, Politics

From Protest to Riot: Here are the Stages

Many protests have been organized across the US this week as a result of the death of George Floyd after an arrest by the Minnesota Police Department. Although originally planned as peaceful protests, many eventually turned violent, with vandalism, fires, injuries and arrests.

The evolution of a calm and organized protest to a chaotic riot seems unpredictable but there actually is a pattern. Here are the stages:

Stage 1 The March

Eloquently executed by Martin Luther King, Jr and other civil rights leaders, marches are peaceful gatherings that carry their message forward as they march through streets and neighborhoods with signs and a powerful message of solidarity. Protesters may be silent, chant or carry written messages as they unify for a cause. Many of these current protests align with law enforcement guidelines and rarely result in arrests.

Most protests start out as a march. Many begin during the day and display calm and passionate walkers, many of whom follow police instructions who provide road blocks.

Stage 2 Individuality and Small Outbursts

For some, the calmness and structured march may not be as energizing or demonstrative. As the sun begins to set, some protesters feel more is needed for the cause and that they are the ones to provide it. They might yell, perform some small act of vandalism, or accost a law enforcement officer. If they are few and far between, most flames become extinguished by fellow protesters or by apathy and non-engagement by law enforcement.

Stage 3 Standstill, Anger and Provocation

As night falls and tensions begin to rise, some may begin to build more steam. Angry outbursts fuel more response and some want to engage others. They may throw objects and obscenities at law enforcement, vandalize cars and properties, and accost others watching the protest or even involved in the protest. The march at this point stops and protesters are at a stand still. They have a choice to make…whether to keep it peaceful, or contain the flames.

This is one of the most pivotal stages of any protest as chaos can soon ensue.

Stage 4 Loss of Control, Chaos and Riot

Due to risk of harm to themselves or others, law enforcement at this point needs to engage and control the crowds, vandalism and violence. This causes a cycle of more anger among the protesters and both sides begin to step up their game. Some protesters see this as an opportunity to defy the law as law enforcement is outnumbered and looting may ensue.

Loss of control by protest organizers, law enforcement and protesters themselves create the chaos of a riot.

Many city officials have tried to fend off the possibility of riots by holding pre-protest meetings and using spiritual leaders to help clarify messages and provide positive means to get the message across. But unfortunately it’s certain individuals who don’t get the memo that can turn peaceful protests into a chaotic and deadly scene.

If interventions can be made during Stage 2 and 3, mobs and riots may be able to be prevented. Until then, anger begets more anger and there’s no controlling what’s next.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and a Board Certified Family Physician

Posted in coronavirus, Covid-19, Health, medications, news

Is Xanax The Next Coronavirus “Cure”?

Researchers from Barcelona plan to study a slew of medications that they believe could stop the SARS-CoV-2 virus from replicating in human cells.

These medications include:

  • Perampanel (antiseizure)
  • Carprofen (antiiflammatory)
  • Celecoxib (antiinflammatory)
  • Alprazolam (antianxiety)
  • Trovafloxacin (antibiotic)
  • Sarafloxacin (antibiotic)
  • Ethyl biscoumacetate (anticoagulant)

They are evaluating the M-pro enzyme inhibition activity that some medications such as alprazolam (brand name Xanax) may possess to inhibit COVID infection.

They state, “Here, we implement an original virtual screening (VS) protocol for repositioning approved drugs in order to predict which of them could inhibit the main protease of the virus (M-pro), a key target for antiviral drugs given its essential role in the virus’ replication. Two different libraries of approved drugs were docked against the structure of M-pro using Glide, FRED and AutoDock Vina, and only the equivalent high affinity binding modes predicted simultaneously by the three docking programs were considered to correspond to bioactive poses.”

As researchers study these drugs, we need be patient to see if there is conclusive evidence that these medications could work in fighting the deadly virus.

Alprazolam belongs to the benzodiazepine family and is used by millions for anxiety and sleep disorders. Unfortunately it’s one of the more highly addictive types of medications and its dependence has been rising for decades.

Benzodiazepine Abuse Being Overlooked

Initial reports of hydroxychloroquine efficacy in treating COVID led some, including President Trump, to take the medication prophylactically. However, medications such as those to be studied by the Barcelona scientists have multiple side effects and possible addictive potential and should not be taken unless prescribed by one’s medical provider once research points to their use and safety in treating COVID-19.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in law enforcement, news, Politics

Derek Chauvin’s Mug Shot Causing Social Media Stir

Updated 6/8/20

Police Officer Derek Chauvin was arrested and charged this week with murder and manslaughter in the death of George Floyd.

Derek Chauvin Mug Shot Explained….Somewhat

After days of riots in Minneapolis and multiple other large cities across the US, Chauvin’s mug shot appeared on all major new outlets as proof of the arrest.

However, many on social media are confused as to why the mug shot picture looks dissimilar to the officer in the viral video showing him kneeling on the neck of George Floyd.

In the image on the right, the 44 year old police officer has a shaved head, has gray hair, a widow’s peak (hair line on scalp angling down), an oblong shape head, a slight goatee, full eyebrows and a rounded chin.

In the image on the left, the mug shot shows slightly more growth of hair on his head, no widow’s peak, less gray hair, thinner eyebrows, a square shape to his face, and a more square jaw.

However for those of us in the media, we are painfully aware of how significant lighting, facial angle, and distance from the camera can be when it comes to our facial features.

The mug shot is typically taken by a camera a short distance away, with lighting able to capture facial features that are characteristic of the accused. The image of Derek Chauvin kneeling on George Floyd was taken at a much longer distance away and then zoomed. The high camera angle also distorts the facial image as opposed to a mug shot’s straight level shot.

The former officer’s grimace during the apprehension can additionally change facial shape and scalp hair contour that a mug shot will fail to provide.

Lighting from outside natural light is always different than artificial light used during photography and can change hair color and face shape depending on shadowing that is present.

And the image on the left might have been resized to fit the frame allowing a more widened view of the face.

And maybe Chauvin plucked his eyebrows and shaved his chin prior to the mug shot.

Or maybe the first photo was not a mug shot of him that day………..

Now we have new mug shots from the Minnesota Department of Corrections that was supposedly taken the same day as the earlier mug shot (taken at Ramsey County Jail)

Derek Chauvin’s bail has been increased to $1.25 million as the former police officer charged in the death of George Floyd made his first appearance in court today
Derek Chauvin (pictured on June 3), 44, was filmed kneeling on Floyd's neck during his arrest, is a 20-year veteran of the force who was investigated over a fatal police shooting in 2006

However, since his nose, lips and ear shapes appear congruent in both images, I would for now go with the notion that the mug shot provided by Hennepin County authorities is of the former police officer we see in the video….however the first picture released was possibly taken a while back.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and a Board Certified Family Physician

@DrDaliah

Posted in Education, medical school, news, osteopathic school, students

Didn’t Match Into Residency? Your Next Steps……

“Match Week” in March of every year is like a medical/osteopathic school lottery. Thousands of students hope to get accepted into a residency and if they don’t, they use this week to apply again or “scramble” into open spots that might not have been filled.

Interview Tips for Residency Programs

Many of these applicants have fantastic CV’s or resumes, but might not have matched because they applied to programs who were highly competitive, or chose a specialty that did not have enough spots (too much demand and not enough supply).

So many other students may find themselves in the Spring without an internship or residency, feeling lost and scared about what the future may bring. If you’re one of them, realize you have options. Here are your next steps….

Keep searching for new and open spots!!!

Sites such as the NRMP and Resident Swap post the latest spots that open. Residency spots can be open post-match for any of the following reasons:

  • Some programs still have spots that did not fill
  • Some students may have extenuating circumstances that caused them to abandon a position they received during match
  • Some are new programs who just received accreditation
Image from Residency Swap

Check for openings daily!!!!

Boost your resume

While you are searching and waiting for new spots to become available you can spend the time you have doing the following:

  • Edit and improve your personal statement, MSPE characteristics, CV, etc.
  • Do research – many projects can be accomplished in a short amount of time and very meaningful
  • Do community service – again there are multiple meaningful projects that can be done that don’t require huge time commitments
  • If you had low board scores, consider retaking one of them

Consider taking Step III or Level III of your boards

Many residencies might not have chosen you because they thought you would score low on the boards. If you need to reapply next year and already have a “Pass” for your third set of boards, that issue becomes a non-issue and you become a highly competitive applicant. This may not be an option for all students, but is worth looking into.

In short, you are not alone. Hundreds of students don’t match and multiple programs fail to fill each year. And as new residencies are born each year, their timeline on accreditation or opening may differ from the rest allowing you the opportunity to apply and secure a spot in April, May and June. Don’t give up hope! You graduated medical/osteopathic school. Now let’s get you a job!!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Entertainment, news, sex

How to Give a Lap Dance (Since Vegas Is Reopening Without Them)

As adult entertainment venues sluggishly reopen with social distancing guidelines, many patrons are finding the lack of services provided to be….well….limp.

Lap dances may disqualify a business trying to reopen their doors with COVID pandemic precautions.

Which leaves us significant others to pick up the slack at home.

For years we’ve escaped the need to choreograph a dance or squeeze into sexy lingerie as our partners had somewhere else to go for that. We could concentrate on our own rituals which included watching a Viggo Mortensen movie and then taking off the terry cloth robe.

But now we need to step it up, and fast!!! So how does one perform a lap dance??

Set the “Stage”

The recipient of the lap dance will need to be seated, so find a chair or bench or bed that they can sit on comfortably. Having a back to their seat will make it easier for you and they to brace themselves as you do your moves. Do not use a counter top or toilet seat.

Dim the lights to hide some but not all of you as you don’t what them imagining someone else completely. Remember you’re doing all the work so you might as well get credit for it.

Play sensual or sexy music in the background, or make a playlist of music you enjoy dancing to. I would avoid TV sitcom theme songs such as FRIENDS or Gilligan’s Island.

Stretch First

If you haven’t ever performed a lap dance before, there’s a chance you’ll be as sore the next day as a 3 hour gym workout. Stretch and hydrate first.

Perform Dance Moves

Don’t panic….. you really only need 2 moves. One that involves your hips and one that involves your arms. The chest moves no matter what you do.

If you don’t know how to dance, watch Tik Tok videos, or sway your hips and arms to the music.

If you really stink at dancing, you can blindfold your partner.

Wear Layers of Sexy Clothing

You will be performing a strip tease. No, no it will be fine. Look it takes the pressure off the need to dance.

Choose clothes that are easy to unbutton or untie. Your skinny jeans are a bad choice as you will have to sit on the ground and squirm to try to peel them off.

Have sexy underwear as the last layer and make sure they’re clean.

Role Play

If you’ve been with your partner for years or decades, it may take a very long time to get them excited, especially if you can’t dance. So you can role play or speak to them in an accent. Remember you are a sex goddess! Act like it.

Move In and Then Sit on Their Lap

This is why its called a lap dance.

Keep your stomach sucked in and your tush perched out as you approach your partner sensually. Then gently slide onto their lap, sharing some of the weight with the chair if you need. Keep swaying your hips to the music and if unsure what to do next, pretend you are on a slow motion bucking bronco.

Tease For as Long As You Can

Your partner has been conditioned to “not touch” as clubs usually don’t allow touching of the dancers. So maintain the same rules. Don’t let them touch you until they can’t take it anymore or you’re getting tired.

You see, you don’t have to be Hollywood’s version of sexy to have skills when it comes to enticing your partner. You just need creativity, a good play list, a sturdy chair, sexy outfit, a couple of moves.

Who knows, maybe they’ll never want to go back to a strip club again……

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart and is a Board Certified Family Physician

Posted in Entertainment, Health, news, sex

Can COVID-Guidelined Strip Clubs Survive Without Lap Dances?

As many strip and gentlemen’s clubs still remain shuttered during the pandemic, many wonder what they will will look like once they reopen.

Social distancing guidelines are required of all venues allowed to open by their respective governor’s.

Those adult entertainment venues who have been allowed to open had to ensure 6 feet social distancing, limited customers in the establishment, frequent sanitation and “no contact” with the employees.

This means, no lap dances.

How to Give a Lap Dance (Since Vegas Is Reopening Without Them)

Many clubs have improvised allowing “virtual” experiences, and some just kept to the dancing, with employees maintaining proper distancing on stage.

The lack of lap dances may not be much of an issue for the customer as many of the clubs aim to provide a sensual atmosphere nonetheless.

And, we haven’t heard much complaints so far but then again, many don’t volunteer much of an account regarding their experience as it is.

However, revenue from tips will drastically decrease if customers don’t have the ability to…..well…..personally offer them.

And plexiglass barriers with transaction windows don’t cut it.

So will a lack of revenue generating services prevent clubs from meeting their bottom lines, or deter future employees from joining the industry?

Possibly. So lack of lap dances, although not a complete buzz kill for the adult entertainment experience, may be for the industry as a whole.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN and iHeart Radio and is a Board Certified Family Physician

Posted in economy, Health, news, Politics

Nevada Will Reopen Bars, Gyms and Movie Theaters This Friday

On Tuesday, Nevada Governor Sisolak was going to hold a press conference outlining his Phase 2 plan for Reopening Nevada. However early that afternoon, we were told he had been possibly exposed to COVID 19 when he visited a workplace where an employee, who was not present at the time of his visit, had tested positive for COVID. The Governor’s office was informed of this Tuesday and was planning COVID testing the following day. He assured constituents in a social media post that he had not shown any symptoms the preceding 5 days since the workplace visit.

A recorded video of the Phase 2 guidelines was going to be released but then due to technical issues, his office provided a written statement to the press.

In it he states that due to a downward trend in positive tests and hospitalizations, Phase 2 can proceed. Thus, the following can open on May 29th:

  • Bars (with seating restrictions)
  • Gyms
  • Movie Theaters
  • Aesthetic services such as tanning, waxing and eyebrow threading
  • Museums
  • Malls
  • Aquariums
  • Massage Services
  • Water Parks
  • Pools
  • Miniature Golf

Clubs, live sporting events with spectators and brothels will remain closed.

Public and Private gatherings can range from 10-50 people while following social distancing.

Vulnerable populations should continue to shelter in place.

All employees will continue to wear a face covering and all businesses operating under Phase 2 need to follow measures set forth by OSHA and other regulatory agencies.

Gyms and fitness classes need to maintain 6 feet social distancing and large gyms can only max at 50% capacity. Locker rooms, showers and saunas will remain closed.

Youth sports may open within Phase 2 with more guidelines to follow.

This is a developing story…..

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN and iHeart Radio and is a Board Certified Family Physician

Posted in Health, news, weather

Record Temperatures Will Hit the Southwestern US This Week – How to Avoid Heat Illness

Hot weather is predicted to hit most of the US this week, with the Southwestern region to see record-breaking triple digits.

Excessive heat warnings (purple) stretched throughout the Southwest early Tuesday morning, May 26, 2020. (AccuWeather)

Accuweather also warns that dry to drought conditions put the West at risk of wildfires.

Excessive heat warnings have been issued for most of the Southwest.

This means that the heat index (air temperature and humidity) will be greater than 105 degrees for more than two hours a day for at least two days in a row and the night time temperatures will not drop below 75 degrees.

Although many of us may live in areas where this occurs each year, the onset can be one of the most dangerous times.  Symptoms such as heat cramps, heat exhaustion and heat stroke must be identified.

What are Heat Cramps?

At first when one feels symptoms, it may come in the form of heat cramps. Heat cramps are painful spasms that occur in the muscles of the arms and legs and even abdomen. We believe that when one loses fluids and salts from excessive sweating, cramps ensue. Its important in these cases to get the person out of the heat, hydrate them with sips of fluid and electrolytes and massage the body parts affected.

water.jpg

What is Heat Exhaustion?

If one does not leave the heat and come indoors, the next risky event that can occur is heat exhaustion. This worsens as the victim sweats profusely becoming more and more dehydrated. They could also have cramps but nausea may ensue, they may look pale and clammy and their heart rate will increase to try to compensate for the lost fluid. These individuals may become dizzy, weak and even faint. Immediately bring the person indoors, lie them down, elevate the feet, give sips of fluid, cool down the body applying cool and wet cloths to the underarms and body, and contact medical authorities if symptoms continue or worsen.

MedStar-NS-heat-stroke-right-size-610x420.jpg
IMAGE FROM MEDSTAR

What is Heat Stroke?

Heat stroke will occur if a vulnerable person does not get out of the heat in time. It is a medical emergency and can be fatal. If an individual has heat stroke 9-1-1 must be called immediately. Bring the victim indoors away from sunlight, lie them down, remove unnecessary clothing, cool their body with cold compresses and watch for signs of rapidly progressive heat stroke in which they have difficulty breathing, seize or lose consciousness. If they are unconscious you cannot give them fluids. Only if they are alert, awake and able to swallow will you be able to give fluids. Do not give medications to reduce the fever such as aspirin or acetaminophen since their body may not be able to metabolize them properly and this could make matters worse.

hwkb17_064.jpg

Who is vulnerable to heat related illness?

Young children and elderly individuals may have issues adjusting to the outside environment and may be more prone to dehydration. Those with medical conditions such as heart, lung, thyroid disease can be at risk as well. If you’ve ever suffered from heat stroke you can be vulnerable again. And many medications could make you susceptible such as diuretics, vasodilators and beta-blockers for blood pressure and antidepressants.

The biggest risk comes when we are unprepared. Having an unusual cool week prior to a heat warning could preclude many from taking proper precautions. Staying indoors, checking air conditioning and fan devices to make sure they work properly, wearing cooler clothing is just the beginning. Stocking up and planning to hydrate frequently is paramount because when death occurs to excessive heat, dehydration is the main culprit.

UZ

Bring your pets indoors, and watch your kids, friends and family members frequently. If they are beginning to succumb to the heat, they may be quiet and not be able to voice it.

Avoid drinking alcohol in the heat. It can dehydrate you more and worsen the situation.

Avoid excessive exercise when outdoors and make sure to make use of shady areas.

The summer and early fall offer exciting and fun ways to enjoy nature. Don’t let the heat get to you. Remember….if you can’t take the heat, get out of the…..well heat…….

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN and iHeart Radio and is a Board Certified Family Physician

Posted in alcohol, Entertainment, food, news

What Do The Lines On A Red Solo Cup Mean?

No party can be without a Red Solo Cup. They’re sturdy, easy to hold, large enough for a good amount of spirits, and allegedly, “smart”. On social media, memes have surfaced defining each line with an actual liquid measurement.

However Snopes.com reports that the parent company of Solo Cups, Dart Container Corporation, cite the lines as purely functional and not a measurement tool.

According to Dart Container Corporation, the parent company of the Solo brand of iconic red Party Cups, “The lines on our Party Cups are designed for functional performance and are not measurement lines. If the lines do coincide with certain measurements, it is purely coincidental.”

Yet for those of us who have a mathematical or bartending background, we believe that everything has a purpose.

According to Business Insider, the lines signify the amounts for each of the basic alcohol groups….hard alcohol, wine and beer.

Although a shot of liquor is 1.5 oz, it’s moot as no one fills a shot to the lower Solo cup line anyhow.

But for those who are watching their beer intake, the 12 oz line provides some guidance. And for those who use a red cup for wine….well they’re just lost.

I, however, use my red Solo cups for none of the above. Mine serve a unique purpose as a cereal bowl when I run out of clean dishes at my house.

Great Gift!!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in coronavirus, Covid-19, economy, Employment, Health, news

Did Your Period Change During the Lockdown? Here’s Why…..

Many women have reported their periods have been irregular since the start of the pandemic, not surprisingly though as 2020 has been one of the most unpredictable years yet.

However, some feel it’s because they lack the “syncing” that occurs when women are around other women, such as in the workplace.

The theory of women who live or work together subsequently menstruate the same time during the month has been suggested for centuries. In 1971, Dr. Martha McClintock from the Department of Psychology in Harvard tested this theory on 135 females from a college dorm and found a “significant increase in synchronization” in college roommates and/or their best friends as it pertained to their monthly cycle. This was called the “McClintock” effect.

However multiple studies since then have debunked this theory finding no major evidence of menses syncing among women who are in close proximity to each other.

So if being separated from one’s coworkers is not the cause, why would periods change?

Menstrual cycles can vary in regularity due to multiple factors. These include:

  • Stress
  • Change in exercise
  • Change in diet
  • Change in weight
  • Thyroid disorders – or issues with taking one’s medication regularly
  • Sexual activity
  • Pregnancy
  • Hormonal disorders such as polycystic ovarian syndrome

For those who had strict work, eating and exercise schedules, lockdowns prevented gym attendance and allowed for more stay-at-home-and-eat-activity.

Moreover fear of COVID, being layed off and trying to teach and entertain the kids who would have been in school all these weeks added copious amounts of stress in a short period of time.

Cycles may come every 21-35 days with a 2-7 day menstrual flow. Some women are able to consistently predict the day and time of their next period, whereas others venture a guess that could range up to a week. So menstrual cycle changes are not that uncommon throughout a woman’s reproductive years. However, if one becomes irregular after months of regularity, skips a cycle or finds their bleeding to change significantly, this should prompt an evaluation by their medical provider.

Will returning to work get you back on your schedule? It could, but then again, it could be your “new normal”…..Either way, don’t expect your female work comrades to sync your cycle anytime soon.

Great Gift!!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.